Payer Contract Negotiations
We lead end‑to‑end payer negotiations—commercial, Medicare Advantage, and Medicaid MCO—covering fee‑for‑service, capitation, gainshare, and value‑based arrangements. Expect data‑driven targets, transparent terms, and disciplined timelines.
Provider & Facility Contracting
Build or optimize your network relationships. We structure agreements that balance access, quality, and reimbursement, while reducing administrative friction.
Credentialing (Payer & Provider)
A standardized credentialing playbook with named SLAs, application completeness checks, and proactive issue resolution—so providers can start seeing patients sooner.
Fee Schedule & Reimbursement Optimization
Model scenarios, benchmark against market peers, and align payer schedules to your strategic goals.
Value‑Based & Performance Programs
Design and operationalize bundles, episodic care, upside/downside risk programs, and scorecards that executives can act on.
Performance Scorecards & Forecasts
Payer‑specific dashboards with leading indicators, variance analysis, and forecasted impact.